UNAIDS calls for action against the criminalization of people who use drugs

1 November is International Drug Users’ Day, when the global community of people who use drugs comes together to celebrate its history and affirm the rights of people who use drugs. The International Network of People who Use Drugs (INPUD) marks this day with a celebration of its diverse, vibrant communities’ accomplishments, while also acknowledging their work is more critical than ever.

On International Drug Users’ Day, UNAIDS is calling for urgent action against the criminalization of people who use drugs, for the redress of criminalization’s negative effects on HIV, viral hepatitis and other health issues, for the respect of human rights and for more funding for community-led harm reduction programmes.

People who use and inject drugs are among the groups at highest risk of acquiring HIV but remain marginalized and often blocked from accessing health and social services. In 2020, 9% of all new HIV infections were among people who inject drugs. Outside of sub-Saharan Africa this rises to 20%. Although women represent less than 30% of the number of people who use drugs, women who use drugs are more likely to be living with HIV than their male counterparts. Less than 1% of people who inject drugs live in countries with the United Nations-recommended levels of coverage of needles, syringes and opioid substitution therapy, and the funding gap for harm reduction in low- and middle-income countries sits at a dismal 95%.

Even where harm reduction services are available, they are not necessarily accessible. Punitive drug control laws, policies and law enforcement practices have been shown to be among the largest obstacles to health care in many countries. Criminalization of drug use and harsh punishments (such as incarceration, high fines or removal of children from their parents) discourage the uptake of HIV services, drive people underground and lead to unsafe injecting practices, and increase the risk of overdose. Women who use drugs face higher rates of conviction and incarceration than men who use drugs, contributing to the increased levels of stigma and discrimination they face in health-care settings. In effect, criminalization of drug use and possession for personal use significantly and negatively impact the realization of the right to health.

 

High-Level Meeting on HIV/AIDS

The UN General Assembly has called for a High-Level Meeting on HIV/AIDS (HLM) to be held on 8 – 10 June 2021 and invited Member States to participate at the highest level. UNAIDS is taking the lead organising the meeting.

The high-level meeting is likely to include a mix of virtual and in-person participation. The meeting will involve plenary sessions and up to five thematic panel discussions. The opening plenary meeting will feature statements by the President of the General Assembly, the UN Secretary-General, the Executive Director of UNAIDS, a person openly living with HIV, and an eminent person actively engaged in the AIDS response.

Communities and other stakeholders are encouraged to participate in the process leading up to the HLM and in the meeting itself. GNP+ and Aidsfonds have been appointed to act as NGO Co-Conveners to work with UNAIDS to facilitate the active and meaningful participation of civil society organisations (CSOs) and communities in the entire HLM process.

UNAIDS has set up a Multi-stakeholder Task Force (MSTF) made up of 16 members representing civil society and the private sector to facilitate civil society involvement in the upcoming HLM. The MSTF will give advice on the format, theme, and programme of the multi-stakeholder hearing (MSH) and help identify speakers for the MSH and HLM plenary and panel discussions.

In addition to active participation at the HLM and the preceding Multistakeholder hearing (MSH), civil society activists have a critical role to play to influence their governments and their positions during the negotiations around the new Political Declaration to be adopted at the HLM. This Political Declaration will replace the one adopted at the 2016 HLM and could provide a powerful advocacy tool for civil society to hold their governments to account.

In order to ensure that the Political Declaration contains strong commitments to bring an end to AIDS and leave no one behind, there are a number of key advocacy actions civil society and communities can take in the run-up to the HLM:

  • High-Level Meeting on HIV/AIDS civil society and community-led organisations and networks in your country to determine joint priorities for communities, raise awareness about the process and organise joint advocacy activities to influence the HLM process
  • Contact key government officials engaged with the HLM at the capital level and at the New York Mission level to influence your country’s input into the negotiations around the Political Declaration
  • Advocate for your government to include representatives of affected communities in the country delegation to the HLM and advocate for the highest level of government representation at the HLMs (President or Ministerial)
  • Contact your national UNAIDS office if you need support or information.

The official page for communities of people living with, affected by, and at risk of HIV and civil society organisations to engage in the upcoming UN General Assembly 2021 High-Level Meeting on HIV/AIDS is available following this link>>>.

 

New global AIDS strategy

From the UNAIDS press release

The UNAIDS Programme Coordinating Board (PCB) has adopted by consensus a new Global AIDS Strategy 2021–2026 to get every country and every community on track to end AIDS as a public health threat by 2030. The strategy was adopted by the PCB during a special session, chaired by the Minister of Health of Namibia, held on 24 and 25 March 2021.

The Global AIDS Strategy 2021–2026, End Inequalities, End AIDS, uses an inequalities lens to close the gaps preventing progress to end AIDS and sets out bold new targets and polices to be reached by 2025 to propel new energy and commitment to ending AIDS. The UNAIDS Secretariat and its 11 Cosponsors worked to develop the new strategy, which received inputs from more than 10 000 stakeholders from 160 countries.

The strategy puts people at the centre and aims to unite all countries, communities and partners across and beyond the HIV response to take prioritized action to transform health and life outcomes for people living with and affected by HIV. The three strategic priorities are to:

  1. Maximize equitable and equal access to comprehensive people-centred HIV services;
  2. Break down legal and societal barriers to achieving HIV outcomes; and
  3. Fully resource and sustain HIV responses and integrate them into systems for health, social protection and humanitarian settings.

If the targets and commitments in the strategy are achieved, the number of people who newly acquire HIV will decrease from 1.7 million in 2019 to less than 370 000 by 2025 and the number of people dying from AIDS-related illnesses will decrease from 690 000 in 2019 to less than 250 000 in 2025. The goal of eliminating new HIV infections among children will see the number of new HIV infections drop from 150 000 in 2019 to less than 22 000 in 2025.

HIV prevention for key and priority populations receives unprecedented urgency and focus in the strategy, which calls on countries to utilize the full potential of HIV prevention tools, especially for adolescent girls and young women in sub-Saharan Africa, sex workers, people who inject drugs, gay men and other men who have sex with men, transgender people and people in prison settings.

The strategy is based on human rights, gender equality and dignity, free from stigma and discrimination for all people living with and affected by HIV, and is the result of extensive analysis of HIV data and an inclusive process of consultation with countries, communities and partners.

Achieving the goals and targets of the new strategy will require annual HIV investments in low- and middle-income countries to rise to a peak of US$ 29 billion by 2025. The total resource needs for lower-income- and lower-middle-income countries is around US$ 13.7 billion. Donor resources are mainly needed for low-income and lower-middle-income countries, while in upper-middle-income countries, which account for 53% of the investments needed, domestic resources are the predominant source of funding.

The priority actions for Eastern Europe and central Asia include:

  1. Urgently expand access to combination HIV prevention, including PrEP and harm reduction. This calls for focused steps to ensure a sound, seamless and sustainable transition of prevention programmes from donor to domestic funding. Gender-responsive harm reduction programmes for people (including adolescents and young people) who use stimulant drugs or other new psychoactive substances must be introduced and scaled up.
  2. Close gaps in the testing and treatment cascade by rolling out the treat-all approach fully, with particular attention to linkages to care and rapid initiation of treatment for all people with new or previous HIV diagnosis. Testing and treatment scale-up for key populations must be prioritized.
  3. Institutionalize community-led services into national health care and HIV prevention systems, ensuring that community-led services account for at least 30% of HIV service delivery.
  4. Remove discriminatory and punitive laws, policies and structural barriers (HIV transmission, exposure, barriers to treatment for migrants, laws criminalizing key populations, including adolescents and young people), strengthen the capacity of the judiciary to promote and protect human rights in the context of HIV, and reduce stigma in medical settings, legislative and educational institutions, and law enforcement practices.
  5. Transform harmful gender norms and reduce gender-based violence, including through the use of digital technologies to improve access to services for all in need.

To read the Strategy, please follow this link>>>.

 

COVID-19 and HIV

Decades of investment in the HIV response have created platforms that are proving useful in battling COVID-19 – just as they were in responding to the 2014-2015 Ebola outbreak in western and central Africa.

The new report by UNAIDS examines how the experience of tackling HIV can help inform and guide effective, efficient, people-centred and sustainable COVID-19 responses.

This report focuses on three key issues: (1) how key lessons learned from the HIV response should inform COVID-19 responses; (2) how the HIV infrastructure is already driving COVID-19 responses and has the potential to catalyse accelerated progress through strategic action; and (3) how the COVID-19 response, informed by the history of responding to HIV, offers a historic opportunity to build a bridge to adaptable results-driven systems for health that work for people.

Key recommendations for the COVID-19 response include:

  • COVID-19 responses should benefit from learning from the HIV experience
  • Communities must be at the centre of COVID-19 responses
  • COVID-19 responses should be guided by human rights principles and practices
  • COVID-19 responses should be gender-sensitive and transformative
  • COVID-19 demands a multi-sectorial, all-of-government, all-of-society response
  • COVID-19 responses should leverage the HIV infrastructure
  • COVID-19 strategic information data must be used to guide action, increase accountability and improve programme performance
  • COVID-19 responses will require strong political leadership
  • We must use COVID-19 to reimagine systems for health

To read and download the report, follow this link>>>.

 

COVID-19 Law Lab

The COVID-19 Law Lab initiative is a joint project of United Nations Development Programme (UNDP), the World Health Organization (WHO), the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the O’Neill Institute for National and Global Health Law at Georgetown University. It gathers and shares legal documents from over 190 countries across the world to help states establish and implement strong legal frameworks to manage the pandemic.

The goal is to ensure that laws protect the health and wellbeing of individuals and communities and that they adhere to international human rights standards. Well-designed laws can help build strong health systems; evaluate and approve safe and effective drugs and vaccines; and enforce actions to create healthier and safer public spaces and workplaces.

The COVID-19 Law Lab is a database of laws that countries have implemented in response to the pandemic. It includes state of emergency declarations, quarantine measures, disease surveillance, legal measures relating to mask-wearing, social distancing, and access to medication and vaccines. It will also feature research on different legal frameworks for COVID-19. These analyses will focus on the human rights impacts of public health laws and help countries identify best practices to guide their immediate responses to COVID-19 and socioeconomic recovery efforts once the pandemic is under control

The COVID-19 Law Lab is accessible following this link>>>.

Seizing the moment

Excerpts from the UNAIDS Media release

A new report by UNAIDS shows remarkable, but highly unequal, progress, notably in expanding access to antiretroviral therapy. Because the achievements have not been shared equally within and between countries, the global HIV targets set for 2020 will not be reached. The report, Seizing the moment, warns that even the gains made could be lost and progress further stalled if we fail to act. It highlights just how urgent it is for countries to double down and act with greater urgency to reach the millions still left behind.

Fourteen countries have achieved the 90–90–90 HIV treatment targets (90% of people living with HIV know their HIV status, of whom 90% are on antiretroviral treatment and of whom 90% are virally supressed.

Millions of lives and new infections have been saved by the scale-up of antiretroviral therapy. However, 690 000 people died of AIDS-related illnesses last year and 12.6 million of the 38 million people living with HIV were not accessing the life-saving treatment.

The world is far behind in preventing new HIV infections. Some 1.7 million people were newly infected with the virus, more than three times the global target. Around 62% of new HIV infections occurred among key populations and their sexual partners, including gay men and other men who have sex with men, sex workers, people who inject drugs and people in prison, despite them constituting a very small proportion of the general population.

Stigma and discrimination, together with other social inequalities and exclusion, are proving to be key barriers. Marginalized populations who fear judgement, violence or arrest struggle to access sexual and reproductive health services, especially those related to contraception and HIV prevention. Stigma against people living with HIV is still commonplace. At least 82 countries criminalize some form of HIV transmission, exposure or non-disclosure, sex work is criminalized in at least 103 countries and at least 108 countries criminalize the consumption or possession of drugs for personal use.

The COVID-19 pandemic has seriously impacted the AIDS response and could disrupt it more. A six-month complete disruption in HIV treatment could cause more than 500 000 additional deaths in sub-Saharan Africa over the next year (2020–2021), bringing the region back to 2008 AIDS mortality levels. Even a 20% disruption could cause an additional 110 000 deaths.

In 2019, funding for HIV fell by 7% from 2017, to US$ 18.6 billion. This setback means that funding is 30% short of the US$ 26.2 billion needed to effectively respond to HIV in 2020.

To read the Report, follow this link>>>.

UNAIDS Strategy Beyond 2021 Development Process

Text from the NGO Delegation to the UNAIDS PCB

UNAIDS is now in the process of developing its next Strategy for 2021 and beyond. The timeline for developing the Strategy was supposed to have started early this year, but it was hampered by the COVID-19 pandemic. It has now been extended to accommodate a longer consultation period to ensure a full and more meaningful engagement of all stakeholders in the process. These details are reflected in the PCB Paper “UNAIDS Strategy Beyond 2021” which is posted to the UNAIDS website.

In order to determine the new goalposts and targets, it is important to take stock and review the existing strategy, UNAIDS 2016-2021 Strategy. This consultation process will involve interviews, focus group discussions and an online survey that will culminate in a multi-stakeholder consultation no later than September 2020.

As a first step in engaging communities and civil society more widely, we invite you to respond to the Online Survey. This 15-20 minute survey is an opportunity to obtain perspectives on how UNAIDS is reaching its goal to end AIDS as a public health threat by 2030 as part of the Sustainable Development Goals. Is the current strategy successful or not? Did it effect change? What should have been done better? Where should the next Strategy be headed? Your perspectives on these themes will help inform and shape the content of the next Strategy, so that it is more responsive, inclusive, progressive and bold in the goals and targets it will set for the global HIV response beyond 2021.

Survey Links:

English: https://bit.ly/3gND9nQ

Español: http://bit.ly/2MmkhhN

Français: http://bit.ly/2Mk2Hv1

Português: http://bit.ly/3gOPWq2

Русский: http://bit.ly/3dxIduQ

中文: http://bit.ly/36SR7jT

العربية: http://bit.ly/3cqwUmA

Full speed CND

Side events

The media, a key actor in the field of drugs

Organized by Canada, and Association Proyecto Hombre, Canadian Centre on Substance use and Addiction, Dianova International, The Interest Organisation for Substance Misusers and Turkish Green Crescent Society.

Role of social networks to take action is to:

  • Reach bigger audiences
  • Promote initiatives
  • Mobilize support
  • Organize campaigns to end stigma
  • Fund more research
  • Authorities should monitor for dangerous content
  • Encourage influencers to promote a healthy life style

An interesting source is Addictionary, produced by The Recovery Research Institute.

Kristina Stankova presented “The role of social networks and alternative media in the field of drugs”. The threats identified include misleading information and fake news, peer pressure, the influence of advertisement in social networks, famous people and influencers promoting unhealthy lifestyle as fun and cool, etc. Tips on how to use social networks and alternative media in a positive way include use of social networks as a tool to access information for research, use them as a tool to raise awareness and promote a healthy lifestyle, reach hidden populations, to end stigma, to spread accurate and understandable information, etc. Studies have found that as many as 75% of teens felt pressured to drink alcohol and use drugs after seeing their friends post these activities online.

Communities at the centre: Barriers and opportunities for community led interventions

Organized by International Drug Policy Consortium, International Network of People who use Drugs, Joint United Nations Programme in HIV/ AIDS, Office of the High Commissioner for Human Rights and UNODC HIV/AIDS Section.

Since 2018, only one new country started needle exchange programme, while no new country started OST – despite all evidence base that these are important services for people who use drugs.

Mick Matthews from INPUD: We are not the enemy, work with us.

11 million people in the world inject drugs. Every eight has HIV, every second Hep C. 84% of those who have HIV also have Hep C. UNAIDS is clearly ready to work with and for people who use drugs (and they introduced this denomination to UN documents).

Harm reduction and rehabilitation program for inmates in prisons with mental and behavioral disorders due to use of psychoactive substances
Organized by Spain and Ukraine and European Union

Spain and Ukraine presented a cooperation project implemented in the context of EU cooperation program. Both countries used it to implement measures planned by their drug strategies.

Spain performs a survey on health services in prisons every 5 years. 75% inmates used illegal substances in their life. “Incarceration is an opportunity to improve health of inmates”.

Drugs are present in prisons in Spain and make serious problems resulting in fights between internal gangs.

Relapse after treatments in Spain is at 31,5%, while at those who go through treatments in prisons it is around 16%.

In Ukraine, with the support from the Global Fund, condoms are shared free of charge in prisons. There was a programme to evaluate syringe exchange programme. Results of the programme are discussed now, but the measures shall wait for the reform on the prison system. Civil society organisations are involved in the programme and discussion.

Unfortunately, a few Ukrainian CSOs were very critical and presented completely different view.

Shared responsibility in addressing the cocaine threat along the supply chain

Organized by European Union, UNODC CRIMJUST, UNODC Regional Office for West and Central Africa and UNODC Research and Trend Analysis Branch

Chloé Carpentier, Chief of the UNODC Drug Research Section in her presentation mentioned that the “new kids on the block” in the cocaine trade chain in Latin America are the Balkan cartel which holds 34% of the transfer of cocaine from Latin America to Europe and almost all street distribution! Production of cocaine is on the historical maximum, there are more organised criminal groups and purity is very high. More regional and international cooperation is needed to fight the problem.

UNODC-WHO Community Management of Opioid Overdose – initial results from the S.O.S. study
Organized by Australia, Kyrgyzstan and the United States of America, and UNODC Prevention, Treatment and Rehabilitation Section, Vienna NGO Committee on Drugs and World Health Organization

Representatives of UNDC and WHO expressed their dissatisfaction that we have to fight for Naloxone, as this is a medication that has no controlled substance. Stigma associated with opioid use disorders is so potent that it extends to naloxone itself. Every day, week, year of inaction means that persons are dying due to opioid overdose when there are medicines that could save their lives. Naloxone is officially registered as a medicine across 51% of all countries, but most countries don’t provide data on the availability of Naloxone.

The research they prepared and showcased by this event also serves as an assessment of the WHO’s own Guidelines on Community Management of Overdose Overdose.

The WHO-UNODC S.O.S. programme (S.O.S. for Stop Overdose Safely) is a peer-distribution programme in which we attempt to provide take home naloxone to likely witnesses of overdoses. The goal at the launch of the SOS Initiative in March 2017 was to have 90% of those likely to witness an overdose are trained to implement Naloxone; 90% of those trained to provide naloxone are provided with a supply; and having 90% of provided with Naloxone are actually carrying it with them.

Meetings

Ms Leigh Toomey, member of the UN Working Group on Arbitrary Detention attends the 63rd session of the Commission on Narcotic Drugs. For the occasion, she was willing to meet with selected IDPC members and partners to discuss the Working Group’s activities, including its upcoming report on the use of arbitrary detention in drug policy.

Cases presented to Ms Toomey mainly came from countries which have harsh approach to drugs. DPNSEE Executive Director added a couple of issues from the region.

We participated in the Vienna NGO Committee Annual General Meeting. Half of the Board have been elected, all from recovery organisations which have obviously well prepared for the elections.

Measuring HIV stigma and discrimination

To better understand the status of HIV-related stigma and discrimination and progress towards their elimination, support advocacy for addressing HIV-related stigma and discrimination and highlight data gaps, UNAIDS is coordinating the development of summary measures of HIV-related stigma and discrimination.

Starting on 19 August 2019 for a period of three weeks, various elements of the draft measures will be discussed. A few key questions will guide the moderated discussion each week. Inputs and recommendations from each week will be shared at the start of the following week and used to inform the next element of the measures to be discussed.

The virtual consultation is open to everyone. They aim to encourage broad participation, particularly of people living with and affected by HIV, gay men and other men who have sex with men, transgender people, young people, sex workers, people who use drugs and women, from all regions. Contributions through this consultation will be used to inform the development of the measure(s) and ensure they are people-centred, reflecting the lived experiences and realities of people, and meaningful to inform programmatic action.

To get more information and participate in the consultation follow this link>>>

UNAIDS calls for greater urgency as global gains slow and countries show mixed results towards 2020 HIV targets

Taken from a UNAIDS press release

The pace of progress in reducing new HIV infections, increasing access to treatment and ending AIDS-related deaths is slowing down according to a new report released on 16 July 2018 by UNAIDS. UNAIDS’ Global AIDS Update, Communities at the centre, shows a mixed picture, with some countries making impressive gains while others are experiencing rises in new HIV infections and AIDS-related deaths

We urgently need increased political leadership to end AIDS,” said Gunilla Carlsson, UNAIDS Executive Director, a.i., “This starts with investing adequately and smartly and by looking at what’s making some countries so successful. Ending AIDS is possible if we focus on people, not diseases, create road maps for the people and locations being left behind, and take a human rights-based approach to reach people most affected by HIV.”

The report shows that key populations and their sexual partners now account for more than half (54%) of new HIV infections globally. In 2018, key populations – including people who inject drugs, gay men and other men who have sex with men, transgender people, sex workers and prisoners – accounted for around 95% of new HIV infections in eastern Europe and central Asia and in the Middle East and North Africa.

However, the report also shows that less than 50% of key populations were reached with combination HIV prevention services in more than half of the countries that reported. This highlights that key populations are still being marginalized and being left behind in the response to HIV.

Globally, around 1.7 million people became newly infected with HIV in 2018, a 16% decline since 2010, driven mostly by steady progress across most of eastern and southern Africa. South Africa, for example, has made huge advances and has successfully reduced new HIV infections by more than 40% and AIDS-related deaths by around 40% since 2010.

However, there is still a long way to go in eastern and southern Africa, the region most affected by HIV, and there have been worrying increases in new HIV infections in Eastern Europe and Central Asia (29%), in the Middle East and North Africa (10%) and in Latin America (7%).

Disconcertingly, the report shows that the gap between resource needs and resource availability is widening. For the first time, the global resources available for the AIDS response declined significantly, by nearly US$ 1 billion, as donors disbursed less and domestic investments did not grow fast enough to compensate for inflation. In 2018, US$ 19 billion (in constant 2016 dollars) was available for the AIDS response, US$ 7.2 billion short of the estimated US$ 26.2 billion needed by 2020.

To continue progress towards ending AIDS, UNAIDS urges all partners to step up action and invest in the response, including by fully funding the Global Fund to Fight AIDS, Tuberculosis and Malaria with at least US$ 14 billion at its replenishment in October and through increasing bilateral and domestic funding for HIV.

Progress is continuing towards the 90–90–90 targets. Some 79% of people living with HIV knew their HIV status in 2018, 78% who knew their HIV status were accessing treatment and 86% of people living with HIV who were accessing treatment were virally suppressed, keeping them alive and well and preventing transmission of the virus.

Communities at the centre shows however that progress towards the 90–90–90 targets varies greatly by region and by country. In Eastern Europe and Central Asia for example, 72% of people living with HIV knew their HIV status in 2018, but just 53% of the people who knew their HIV status had access to treatment.

AIDS-related deaths continue to decline as access to treatment continues to expand and more progress is made in improving the delivery of HIV/tuberculosis services. Since 2010, AIDS-related deaths have fallen by 33%, to 770 000 in 2018.

Progress varies across regions. Global declines in AIDS-related deaths have largely been driven by progress in eastern and southern Africa. In Eastern Europe and Central Asia however, AIDS-related deaths have risen by 5% and in the Middle East and North Africa by 9% since 2010.

Communities at the centre shows that the full range of options available to prevent new HIV infections are not being used for optimal impact. For example, pre-exposure prophylaxis (PrEP), medicine to prevent HIV, was only being used by an estimated 300 000 people in 2018, 130 000 of whom were in the United States of America. In Kenya, one of the first countries in sub-Saharan Africa to roll out PrEP as a national programme in the public sector, around 30 000 people accessed the preventative medicines in 2018.

The report shows that although harm reduction is a clear solution for people who inject drugs, change has been slow. People who inject drugs accounted for 41% of new HIV infections in Eastern Europe and Central Asia and 27% of new HIV infections in the Middle East and North Africa, both regions that are lacking adequate harm reduction programmes.

Gains have been made against HIV-related stigma and discrimination in many countries but discriminatory attitudes towards people living with HIV remain extremely high. There is an urgency to tackle the underlying structural drivers of inequalities and barriers to HIV prevention and treatment, especially with regard to harmful social norms and laws, stigma and discrimination and gender-based violence.

Criminal laws, aggressive law enforcement, harassment and violence continue to push key populations to the margins of society and deny them access to basic health and social services. Discriminatory attitudes towards people living with HIV remain extremely high in far too many countries. Across 26 countries, more than half of respondents expressed discriminatory attitudes towards people living with HIV.

The report highlights how communities are central to ending AIDS. Across all sectors of the AIDS response, community empowerment and ownership has resulted in a greater uptake of HIV prevention and treatment services, a reduction in stigma and discrimination and the protection of human rights. However, insufficient funding for community-led responses and negative policy environments impede these successes reaching full scale and generating maximum impact.

UNAIDS urges countries to live up to the commitment made in the 2016 United Nations Political Declaration on Ending AIDS for community-led service delivery to be expanded to cover at least 30% of all service delivery by 2030. Adequate investments must be made in building the capacity of civil society organizations to deliver non-discriminatory, human rights-based, people-centred HIV prevention and treatment services in the communities most affected by HIV.

To read full report follow this link>>>

DPNSEE have made an excerpt with the country data for 10 countries of the region, which you can download following this link>>>